| NPI | 1699194365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036169086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461382) |
| 207R00000X Internal Medicine (Licence: OH 35.135530) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T6816) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.135530) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-11-26 |